Chapter 226: Venous Blood!

"I'm not called Lao Huang!!"

Huang Sen's face was red, and he expressed his dissatisfaction with Liu Dongfang's unauthorized claim.

"Oh, I know, Lao Huang, it's okay to put the pipe, hurry up and install the loop!"

Liu Dongfang used the prepared heparin saline and pulse sealing to reconfirm the patency of the femoral vein.

Seeing that the protest was ineffective, Huang Sen was very helpless.

But disgust is disgust, but the speed in his hands is not slow.

As you open the sterile material package, you will see a variety of pipeline logos inside.

Seeing this, Liu Dongfang said casually: "After the ECMO is started in a while, the operation will be performed directly in V-A mode!"

"So you need to connect the femoral vein first, then run the blood pump, the membrane lung, and finally ascend the aorta to form a closed circulatory system!"

"Have you studied?!"

Liu Dongfang's words caused an uproar in Huang Sen's heart!

He didn't expect that Liu Dongfang would be so proficient in ECMO!

Didn't you say that Shengbei Hospital didn't have it?!

You must know that in the entire Nakajima City, only their city hospital has the qualification of ECMO!

After all, this is the embodiment of a great doctor!

It is also a double affirmation of the hospital's financial and material resources!

But!

This feeling of superiority, Huang Sen hasn't realized it yet, just here in Liu Dongfang, he touched a nose of gray!

"Hey, Lao Huang, I'm doing heart surgery, what are you doing with a rolling pump for respiratory assistance and a silicone membrane lung for me?!"

A scolding startled Huang Sen, who had not yet recovered his senses.

Only then did I realize that I had pressed the wrong pipe.

Suddenly!

An old face flushed!

"Do you need me to educate you about the difference between cardiac assistance and respiratory assistance?"

Liu Dongfang saw that Huang Sen did not move for a long time, and his tone gradually became cold.

You know, Linlin's muscle relaxants have begun to work!

This is the best time for surgery!

But now, due to Huang Sen's personal reasons, the entire operation progress has been delayed!

This kind of mistake is difficult for Liu Dongfang to accept!

"The centrifugal pump and the hollow fibrous membrane lung next to it are the auxiliary materials of the heart!"

"Machine self-test and loop warm-up before connection!"

"If you don't even know this, I wonder who you learned about ECMO from. ”

If he was ruthless, he directly taught Huang Sen a red face.

"I spent a lot of money and was sent to the highest level tertiary general hospital in southwest China for further study!"

Huang Sen muttered a little unconvinced.

"That's it?!"

Liu Dongfang's eyebrows were slightly raised, and his words were full of disdain.

"Then let me ask you, how much heparin sodium should be given for local anticoagulation before an indwelling ECMO deep venous catheter?"

"This ......"

The sudden question made Huang Sen look stunned.

Before he could turn his head, Liu Dongfang asked again.

"Let me ask you again, how many seconds is the patient ACT maintained, and the best treatment effect for the patient's anticoagulation surgery?"

“ACT?”

Huang Sen was completely panicked.

"Whole blood clotting time!"

Duan Kailiang on the side added coldly.

This is the most important and most important indicator for cardiopulmonary circulation, and it is also the indicator that doctors need to pay attention to.

It is an important part of whether the heart surgery goes smoothly.

As a qualified surgeon, you should know!

But!

What is going on with this old doctor who claims to be clinically experienced?!

In the face of doubts, Huang Sen felt a sense of self-pity.

At this moment, I can't wait to find a crack in the ground to get into!

Seeing this, Liu Dongfang shook his head helplessly.

He set his eyes on Duan Kailiang, who was silent on the side.

"Although I know the truth that healers don't heal themselves, but now the situation is special, and I need your help!"

As soon as these words came out, Duan Kailiang was slightly stunned.

But he instinctively asked, "What do you need me to do?"

"Follow my instructions and operate this ECMO!"

As soon as the words fell, everyone suddenly broke out in a cold sweat.

Obviously, they knew that in the face of this machine, Duan Kailiang was just a novice!

"No, I don't agree!"

Liu Dongfang's words immediately aroused Huang Sen's opposition!

Don't look at his surgical knowledge, but as a senior emergency physician, he still has a certain say in the ECMO in front of him!

But!

Huang Sen's obstruction made the corners of Liu Dongfang's mouth twitch.

He squinted, and a sharp flash flashed in his eyes.

"Huang Sen, it's not that I look down on you. ”

"Before, in the city hospital, Zhang Lin's kidney failed, and he needed emergency catheterization, and you didn't see the scene of blood return from the needle, and you forgot it?"

"Now in the face of inquiries, I can't answer a word, what qualifications do you have to stand here?!"

Liu Dongfang was stunned word by word, and Huang Sen's education was incomplete!

"I ......"

Huang Sen has nothing to say!

He suddenly realized that what he was proud of was useless in front of Liu Dongfang!

He recalled that in the few contacts he had with Liu Dongfang, whether it was car accident rescue or on-site tube placement.

He's all gone, it's not worth mentioning!

And now!

Even the ECMO, which he is proud of, is required to stay!

Thinking of this, Huang Sen had no momentum, and the whole person seemed to be ten years older.

"Okay, I'll go!"

"But if you need me anywhere, you can ...... at any time"

Before the words fell, Huang Sen glanced back uneasily.

But the scene in front of him made his heart completely cold.

I saw that Duan Kailiang, under the guidance of Liu Dongfang, had already begun to operate the machine.

Whether it's installation or self-inspection, it's all at your fingertips!

This can only be done if you are extremely familiar with ECMO!

"Hey, I'm getting old after all!"

Huang Sen's face showed vicissitudes, his eyes were full of melancholy, and the whole person was like a deflated ball, and he withdrew from the operating room in despair.

Just when everyone was in full swing to work hard for Linlin, a discordant voice suddenly sounded in the operating room.

"I'm sorry, I didn't do this surgery!"

The anesthesiologist at the head of the bed said coldly.

The sudden change made everyone stunned.

Especially in Duan Kailiang, who was present, he had already installed the pipeline according to the instructions.

At this moment, the ECMO is already on standby, and it is completely possible to perform surgery on the machine now!

"Why?!"

Duan Kailiang's eyes were red!

The bloodshot Hitomi inside is full of anger!

They overcame all odds and finally got to this point!

It's just to completely cure Linlin's illness!

But now!

The anesthesiologist didn't do a word, and wanted to wipe out all their previous efforts!

How is this possible!

Duan Kailiang was a little emotional, but the corner of the anesthesiologist's mouth showed a disdainful smile.

"It's ridiculous that a person who can't even tell the difference between arteries and veins still wants me to cooperate with his surgery!"

As soon as these words came out, Duan Kailiang was furious!

"Shut up!"

"You are not qualified to evaluate Director Liu!"

Tonight, if it weren't for Liu Dongfang's help, Linlin would not have come to the hospital alive!

It is even more unlikely, there is a chance to complete radical surgery for the heart!

Duan Kailiang knew in his heart that all of this now was given by Liu Dongfang!

Therefore, in the face of the attack of the anesthesiologist, Duan Kailiang directly exploded!

However, in the face of anger, the anesthesiologist was not affected in the slightest!

"Why am I not qualified to judge?!"

The anesthesiologist pointed to the ECMO next to him and sneered: "I have never seen an instrument like this, he dares to let you, a novice, operate it, isn't this waiting for an accident?"

"Is the patient's life a life, but my life is not my life?"

The more the anesthesiologist talked, the more excited he became, after all, it was the first time he had met such a group of unreliable people, who had been doing anesthesia for so many years!

Such a reckless act, as long as something happens, it is a big deal!

When the time comes, as an anesthesiologist, he will definitely not escape this fate!

Therefore!

It's the right choice to get rid of it now.

But at this moment, the phone in the operating room suddenly rang.

"Hey, Laboratory?"

The itinerant nurse quickly picked up the phone, and then nodded repeatedly.

As the phone snapped, she turned her head to look at the anesthesiologist: "Teacher, there is a call from the laboratory department, saying that the results of the blood gas analysis are out, and this is transmitted through the logistics barrel!"

"Okay!"

The anesthesiologist's eyes were cold, and he said sharply: "The evidence is on the way, I'll see if you have anything else to say in a while!"

As soon as the words fell, with a loud sound, a palm-sized black bucket fell into the operating room.

The anesthesiologist took off his gloves and walked over menacingly.

He snapped the valve, took out a test sheet from it, and slapped it on the operating table!

"Look, that's what I'm talking about, evidence that you don't distinguish between arteries and veins!"

The anesthesiologist said confidently!

But at this moment, a doubt sounded.

"Huh?"

"On this test sheet, it is marked with venous blood!"

Traveling nurses, you can see the logo on the test sheet at a glance!

As soon as these words came out, the anesthesiologist was suddenly stunned.

He lowered his head and hurriedly looked at the test sheet, and his eyes suddenly widened like copper bells!

"How is this possible?!"

"The color of that blood is so red, it must be arterial blood!"

"Why is the result given by the laboratory department is venous blood?!"